Ask Dr. Z

I have a patient that had a pacemaker placement in early January with a diagnosis of sick sinus syndrome.

In the doctor's operative report it is stated "Arrange Tikosyn admission in 4 weeks after pacemaker for rhythm control".

The patient is now an inpatient and the doctors are submitting charges for atrial flutter.

I am going back and forth as to whether these can be billed with a 24 modifier or if they are part of the global and should not be charged.

I feel like it's part of the global, but I'm not absolutely positive, and I don't want to take charges away, so I am looking for some guidance with this scenario.

Thank you!